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There are several risk factors for ankle fractures, including obesity, multiple falls, and alcohol consumption. 3 Men are more likely to sustain ankle fractures at younger ages than are women. 1,2 High-energy trauma can also result in ankle fractures, commonly with suprasyndesmotic patterns. Elderly women are especially susceptible to these injuries, reporting the highest incidence of ankle fractures, particularly bimalleolar and trimalleolar patterns. Low-energy trauma accounts for the majority of ankle fractures. Because the joints in the lower limb act in concert during the gait cycle, any deviation from the normal function of one joint can have significant implications on the function of the other joints.

Disregarding the precise details of these fractures can lead to disappointing outcomes. Case Overview BackgroundĪnkle fractures are among the most commonly encountered fractures in orthopedics nevertheless, their frequency should not undermine their seriousness. Weaver discusses the surgical landmarks and approaches to the ankle, the methods of fixing the malleoli and the syndesmosis, and common concerns that arise during the surgical management of ankle fractures. Weaver walks us through the surgical management of a 23-year-old male who sustained a trimalleolar ankle fracture with concomitant dislocation and syndesmotic injury following a motor vehicle collision. Operative management is recommended for most displaced fractures, fractures with dislocations, and open fractures. 1, 2 The goal of management is to restore a stable and congruent joint. Ankle fractures are the second most common lower limb fractures after those involving the hip, accounting for 10% of all fractures, with an incidence that has been increasing.